| NPI | 1942651930 |
|---|---|
| Former Name | CLAIRE LAVERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011033) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |