NPI | 1861475220 |
---|---|
Former Name | THERESA M HELNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-016793) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 4433-024) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 62-039) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2022-10-26 |