| NPI | 1962773713 |
|---|---|
| Former Name | EMILY JEANNETTE SKELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9176) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 9176) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2023-03-13 |