NPI | 1114138567 |
---|---|
Former Name | KARIN K CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22984) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT003583) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2024-05-14 |