NPI | 1902022700 |
---|---|
Former Name | STEPHANIE M GRAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010028880) |
Additional Taxonomies | 174400000X Specialist (Licence: TN PT0000007392) |
225100000X Physical Therapist (Licence: IL 070009662) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2010-11-08 |