NPI | 1942546932 |
---|---|
Former Name | SHARON JESSICA BENDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA DAPT002763) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011830L) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2022-05-03 |