| NPI | 1003000829 |
|---|---|
| Former Name | MICHELLE RENEE GARTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015931) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2013-11-01 |