| NPI | 1962078709 |
|---|---|
| Former Name | ELLEN ANDRIES DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09898) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-02-01 |