NPI | 1841490794 |
---|---|
Former Name | SHERRY PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 2965) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8890) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2019-08-15 |