| NPI | 1881205425 |
|---|---|
| Former Name | RACHEL WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021048828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06930) |
| 225100000X Physical Therapist (Licence: FL PT36069) | |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2024-11-13 |