NPI | 1902185093 |
---|---|
Former Name | LINDSEY T WENDEROTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002683) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020839) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2014-09-12 |