NPI | 1912924960 |
---|---|
Former Name | RACHAEL POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-1500) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-01-18 |