NPI | 1992874770 |
---|---|
Former Name | MORGAN ELIZABETH BONESTELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10252) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027545-1) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-09-14 |