NPI | 1962159137 |
---|---|
Former Name | ERIN ELIZABETH MOBERLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29011) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215075) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-06-19 |