NPI | 1982132437 |
---|---|
Former Name | ELIZABETH KATHRYN CHAPPELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018014343) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32669) |
225100000X Physical Therapist (Licence: KS 11-05975) | |
Enumeration Date | 2017-05-29 |
Last Update Date | 2018-06-26 |