NPI | 1952912065 |
---|---|
Former Name | ALISN STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0000013) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06420) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2021-07-14 |