NPI | 1851370613 |
---|---|
Former Name | JAMI LEE HARTWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03392) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-2391) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2008-08-22 |