NPI | 1982021556 |
---|---|
Former Name | RHONDA KAYE VINCENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT004932) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT004932) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2014-03-21 |