NPI | 1982849741 |
---|---|
Former Name | WENDY HOLDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011510) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 045514) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2023-09-20 |