| NPI | 1912580937 |
|---|---|
| Former Name | RACHEL LEA MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021022660) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06761) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-03-18 |