| NPI | 1952952103 |
|---|---|
| Former Name | NATALIE LAUREN SLOCUMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014458) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2022-04-15 |