NPI | 1891965679 |
---|---|
Former Name | AMY MICHELLE LLEWELLYN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21664) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH5261) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2024-10-19 |