| NPI | 1114326808 |
|---|---|
| Former Name | LAUREN BACHAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02808) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-05-04 |