| NPI | 1063645232 |
|---|---|
| Former Name | STEPHENIE JO KRAYCSIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY WY-1322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 1322) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2023-07-27 |