| NPI | 1912637984 |
|---|---|
| Former Name | ALLISON MARIE MCLANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606685) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A5804) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-11-03 |