| NPI | 1053718304 |
|---|---|
| Former Name | CHRISTY NICOLE MEDLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHYP2867) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15299) |
| 225200000X Physical Therapy Assistant (Licence: OH PTA.08245) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-03-15 |