NPI | 1972971810 |
---|---|
Former Name | ERIN ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040099) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017299) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2017-07-07 |