NPI | 1831337393 |
---|---|
Former Name | MOLLY M HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004350) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2009-01-21 |
Last Update Date | 2024-05-08 |