NPI | 1851383038 |
---|---|
Former Name | JONI MICHELLE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 2549) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2002001975) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2015-12-14 |