NPI | 1922526094 |
---|---|
Former Name | ALISON RAE STAPLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293265) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 293265) |
2251X0800X Physical Therapist, Orthopedic (Licence: CA 293265) | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2017-09-08 |