NPI | 1003466681 |
---|---|
Former Name | KATHLEEN HANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1346018) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-09-16 |
Last Update Date | 2021-07-16 |