NPI | 1912202847 |
---|---|
Former Name | COURTNEY NATALIE RAE OSTERBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017233) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 26100) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2023-03-08 |