NPI | 1124110838 |
---|---|
Former Name | KRISTIN A RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1205223) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011912) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2024-07-25 |