| NPI | 1003265695 |
|---|---|
| Former Name | BETHANY ELAINE CARNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT.11938) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-08-16 |