NPI | 1831573674 |
---|---|
Former Name | MERIN GWINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209469) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2015-07-10 |
Last Update Date | 2024-01-02 |