NPI | 1942634795 |
---|---|
Former Name | MICHELLE GIESEL, MORROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2023043961) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016457) |
225100000X Physical Therapist (Licence: WI 12946) | |
Enumeration Date | 2013-08-29 |
Last Update Date | 2024-09-30 |