NPI | 1861491185 |
---|---|
Former Name | LAURA CHRISTINE SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1707) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6741) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2009-02-04 |