NPI | 1851970685 |
---|---|
Former Name | MADELINE JO FUCHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT5917) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4779) |
Enumeration Date | 2021-04-07 |
Last Update Date | 2024-10-24 |