| NPI | 1922368554 |
|---|---|
| Former Name | REBECCA E. TILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 14815) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3383) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2014-09-05 |