NPI | 1912316530 |
---|---|
Former Name | MORGAN ALEXANDRA HOLEKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10117) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH7299) |
225100000X Physical Therapist (Licence: GA PT011693) | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2016-12-12 |