NPI | 1073756862 |
---|---|
Former Name | KRISTEN MCGREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1156191) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1156191) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2023-04-14 |