NPI | 1992005912 |
---|---|
Former Name | RENEE ADELE BELCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 006887) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 1123) |
225200000X Physical Therapy Assistant (Licence: MS 4636) | |
Enumeration Date | 2010-10-25 |
Last Update Date | 2010-10-25 |