NPI | 1942735311 |
---|---|
Former Name | EMILY CHRISTINE FETNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1369237) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4920) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-06-21 |