NPI | 1881031961 |
---|---|
Former Name | CHRISTINA ROSE WERMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 10318) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ 0985) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-05-29 |