NPI | 1932758703 |
---|---|
Former Name | ASHLEY DILLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1337064) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4872) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-03-11 |