| NPI | 1053606657 |
|---|---|
| Former Name | KALA PLANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 077175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11819-24) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-04-07 |