| NPI | 1831359264 |
|---|---|
| Former Name | AMY NICOLE DUPREE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0018703) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-02-08 |