| NPI | 1972815744 |
|---|---|
| Former Name | REBECCA SUE EVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2012008848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009967) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2015-03-12 |