| NPI | 1023340130 |
|---|---|
| Former Name | GRETCHEN RENAE SPIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004656) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018208) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2014-01-20 |