NPI | 1962799437 |
---|---|
Former Name | LAUREN HORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16437) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871252) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2023-10-11 |