NPI | 1841773272 |
---|---|
Former Name | AMANDA MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000137) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2024-05-30 |