| NPI | 1871924647 |
|---|---|
| Former Name | JOANNE GRACE LAROWE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14408) |
| 225100000X Physical Therapist (Licence: AL PTH7714) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2020-10-07 |