| NPI | 1063673580 |
|---|---|
| Former Name | KERRIJO FRANCES CARNAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN PT 8488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT9325) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2011-02-09 |