NPI | 1053720375 |
---|---|
Former Name | KATHERINE POISEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011908A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08864) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2018-08-24 |