NPI | 1932506870 |
---|---|
Former Name | DEBORAH DUNCKLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7605) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P11776) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2015-01-28 |