| NPI | 1861901183 |
|---|---|
| Former Name | ALEXIS LACEY SPEARMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8881) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2024-07-19 |