NPI | 1992947139 |
---|---|
Former Name | ELIZABETH SMELIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2928) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P2928) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2021-05-07 |