| NPI | 1962688770 |
|---|---|
| Former Name | MARILYN L WHETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002258) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2018-06-08 |