| NPI | 1124253596 |
|---|---|
| Former Name | KELLY ANN HORVATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019626) |
| 225100000X Physical Therapist (Licence: IN 05009941A) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-05-22 |