NPI | 1972608487 |
---|---|
Former Name | LAURA WHELCHEL SUMNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 1334) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 1334) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-11-09 |