NPI | 1952702524 |
---|---|
Former Name | ANN MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 3656) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3736) |
Enumeration Date | 2014-09-14 |
Last Update Date | 2021-02-15 |