NPI | 1912060625 |
---|---|
Former Name | RAMONA A STAPLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002288) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9472) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-08 |