NPI | 1982969192 |
---|---|
Former Name | NATALIE LYNN NOSAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209515) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22621) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2018-04-05 |