NPI | 1861753089 |
---|---|
Former Name | TONIESHA N HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01440200) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18kt00133300) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2021-03-22 |