NPI | 1942226063 |
---|---|
Former Name | ANDREA JILL GLASPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010011) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT019547) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2021-11-10 |