| NPI | 1053518001 |
|---|---|
| Former Name | HEATHER M RALSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001936) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT019460) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-04-26 |