NPI | 1912428566 |
---|---|
Former Name | ELIZABETH PHELPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11821) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012874) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-02-28 |