| NPI | 1134575582 |
|---|---|
| Former Name | CAROL K. KNIERIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05006877A) |
| 225100000X Physical Therapist (Licence: KY 004087) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-08-04 |