| NPI | 1083283816 |
|---|---|
| Former Name | WENDY ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15618.24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12287) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-08-22 |