NPI | 1043706310 |
---|---|
Former Name | KATHERINE PAIGE SEALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14514) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-01-10 |