NPI | 1003167800 |
---|---|
Former Name | KARALEE ANNE FRIBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60274764) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6853) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2024-10-29 |