NPI | 1144752460 |
---|---|
Former Name | CAITLYN HAUSWIRTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 011323) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039118) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2024-08-22 |