NPI | 1952839995 |
---|---|
Former Name | COURTNEY MARIE DORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0014726) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017018706) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2022-09-06 |