| NPI | 1073093530 |
|---|---|
| Former Name | KATHERINE THIBAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27344) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4409) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2025-11-26 |