NPI | 1831430040 |
---|---|
Former Name | MERIDITH Z MCKENZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010836) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5541) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2024-02-16 |