| NPI | 1033465919 |
|---|---|
| Former Name | LAUREN MARIE BERNDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017983) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-07-06 |