| NPI | 1912329178 |
|---|---|
| Former Name | REBECCA RAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0012450) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2020-09-23 |