| NPI | 1023430402 |
|---|---|
| Former Name | KELLY LANIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01472500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14959) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2015-03-10 |