NPI | 1992735153 |
---|---|
Former Name | DIANNE SCATTERGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT010345L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT002333) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-03-09 |