| NPI | 1134208648 |
|---|---|
| Former Name | RICHELLE M DORENBUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 7752) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-12-15 |