| NPI | 1144688243 |
|---|---|
| Former Name | NICOLE HESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006376) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41474) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |