NPI | 1922661586 |
---|---|
Former Name | EMMA GERALDINE MCGRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 090171) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2019-04-19 |
Last Update Date | 2022-08-15 |