NPI | 1871840587 |
---|---|
Former Name | MEGAN MARIE HELDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7310) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14656) |
225100000X Physical Therapist (Licence: IN 05013772A) | |
2251X0800X Physical Therapist, Orthopedic (Licence: IL 070018979) | |
Enumeration Date | 2012-08-13 |
Last Update Date | 2020-10-02 |