| NPI | 1891928545 |
|---|---|
| Former Name | PATRICE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01295700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT3066) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2021-07-11 |