| NPI | 1083293674 |
|---|---|
| Former Name | EMILY FISK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 15316-24) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-01-28 |