NPI | 1932216710 |
---|---|
Former Name | LINDSEY BETH JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02048) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 8103) |
225100000X Physical Therapist (Licence: NJ 40QA01432400) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2012-08-01 |