| NPI | 1073829727 |
|---|---|
| Former Name | ERIN WILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-02130) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 1402130) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2025-06-25 |