| NPI | 1932499613 |
|---|---|
| Former Name | ABIGAIL LOUISE CORNISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207523) |
| 225100000X Physical Therapist (Licence: TX 1193795) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2018-03-17 |