| NPI | 1114481850 |
|---|---|
| Former Name | MCKENNA SETLIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014859) |
| 225100000X Physical Therapist (Licence: OK 5409) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-09-27 |