| NPI | 1134754039 |
|---|---|
| Former Name | TINA LYNN KREMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.012490) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2021-03-22 |