NPI | 1851472559 |
---|---|
Former Name | TAYLOR POMEROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7317) |
Additional Taxonomies | 174400000X Specialist (Licence: AZ 7317) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-05 |