NPI | 1922261502 |
---|---|
Former Name | REBECCA K MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3608) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015610) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2018-03-17 |