NPI | 1891976452 |
---|---|
Former Name | ELIZABETH TREAT BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 102085-2401) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 102733-4701) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2007-11-23 |