| NPI | 1063072460 |
|---|---|
| Former Name | HALLE E DITTRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3995) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2021-09-28 |