NPI | 1972552974 |
---|---|
Former Name | SHERRY A PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 02259) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03933) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2019-12-16 |