| NPI | 1841596012 |
|---|---|
| Former Name | AMY BOZARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016724) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2013-02-13 |