NPI | 1013468552 |
---|---|
Former Name | KATHRYN MARY DOWDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30649) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014310) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2024-01-08 |