NPI | 1023628260 |
---|---|
Former Name | KAYLA MARIE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10960R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014728) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2021-06-14 |