NPI | 1821546250 |
---|---|
Former Name | CHARITY MICHELLE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013360) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1279111) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2022-04-26 |