| NPI | 1962620880 |
|---|---|
| Former Name | JOAN LINDA FEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 1380) |
| 225100000X Physical Therapist (Licence: CA PT 9436) | |
| 225100000X Physical Therapist (Licence: NY 7433) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-09 |