| NPI | 1124302542 |
|---|---|
| Former Name | ERIN ANNE VAN DE VOORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04323) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014014158) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2021-09-08 |