| NPI | 1861878290 |
|---|---|
| Former Name | ANNA BLACKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1262027) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-01-11 |