NPI | 1932227238 |
---|---|
Former Name | BARBARA M MACEREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8926) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: AL PT15154) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2014-02-20 |