NPI | 1881940740 |
---|---|
Former Name | VALERIE LEGENDRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41143) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT4463) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2021-09-14 |