| NPI | 1144460007 |
|---|---|
| Former Name | PATRICIA ANN BASHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT10248) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2010-01-20 |