| NPI | 1033393343 |
|---|---|
| Former Name | CATHY BURGOYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 5879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 5879) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MA 5879) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |