NPI | 1841692704 |
---|---|
Former Name | KATIE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003641) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41604) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2017-03-09 |