NPI | 1003177627 |
---|---|
Former Name | KRISTEN M HONEYCUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29729) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5366) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2015-01-23 |