| NPI | 1124399548 |
|---|---|
| Former Name | KATHLEEN DIFFILY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0012049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01431900) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2021-12-17 |