NPI | 1851532790 |
---|---|
Former Name | PAMELA FREED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019807) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT019807) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2022-11-09 |