NPI | 1992853782 |
---|---|
Former Name | CAROL FLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A03092) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: KY 089502532) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2014-08-18 |