| NPI | 1922246198 |
|---|---|
| Former Name | AMBER LYNN HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 40286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010024110) |
| 225100000X Physical Therapist (Licence: SC 5899) | |
| 225100000X Physical Therapist (Licence: NC 12169) | |
| 225100000X Physical Therapist (Licence: IL 070-19876) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2024-08-15 |