| NPI | 1083090971 |
|---|---|
| Former Name | KINDELL ANNE COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2015030155) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05220) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2018-08-29 |