NPI | 1851338388 |
---|---|
Former Name | JANIECE ELLEN BIGUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38265) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38265) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2021-02-16 |