NPI | 1861690315 |
---|---|
Former Name | VICTORIA LAMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 11179) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 11179) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2023-02-01 |