NPI | 1982901203 |
---|---|
Former Name | ALISON LEE FREELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019795) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015495) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2014-10-14 |