| NPI | 1093145971 |
|---|---|
| Former Name | KIMBERLY LUDEWIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2099181) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008859-1) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2018-09-18 |