NPI | 1841609930 |
---|---|
Former Name | JANET LEE POOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31563) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04796) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2017-11-09 |