NPI | 1962066787 |
---|---|
Former Name | RACHAEL ALEXANDRA DURHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4855) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024385) |
Enumeration Date | 2019-04-26 |
Last Update Date | 2023-07-28 |