NPI | 1831362284 |
---|---|
Former Name | REBECCA ANN POTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61615726) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8058) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2024-11-08 |