NPI | 1972732816 |
---|---|
Former Name | LYNDSAY MARIE SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT2758) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 2758) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2024-11-04 |