NPI | 1841429891 |
---|---|
Former Name | KAYLA MICHELLE DOWDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017198) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009030558) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2009-10-05 |