| NPI | 1982167490 |
|---|---|
| Former Name | EMILY LANE FLICKINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9350) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-07-09 |