NPI | 1881802551 |
---|---|
Former Name | LEEANN HILDA SEITZINGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2722) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT005591L) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-07-08 |