| NPI | 1124401534 |
|---|---|
| Other Name | KASSIDY MCLEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003367) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: PA PT026076) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-03-21 |