| NPI | 1083132039 |
|---|---|
| Former Name | KRISTEN PATENAUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5101) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 5101) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-05-30 |