NPI | 1942736020 |
---|---|
Former Name | LINDSAY M MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15216-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016075) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2020-10-02 |