NPI | 1871874438 |
---|---|
Former Name | MEGAN ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01469500) |
225100000X Physical Therapist (Licence: NC 13289) | |
225100000X Physical Therapist (Licence: NY 033857) | |
Enumeration Date | 2011-09-08 |
Last Update Date | 2019-06-14 |