NPI | 1912309303 |
---|---|
Former Name | CASSIE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07165) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3833) |
225100000X Physical Therapist (Licence: SC 7430) | |
Enumeration Date | 2014-09-17 |
Last Update Date | 2023-08-01 |