NPI | 1922481068 |
---|---|
Former Name | DE'CHAUNA SKINNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023485) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209526) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2018-09-25 |