| NPI | 1154587533 |
|---|---|
| Former Name | KIM ALISON RUTISHAUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003699) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-11-06 |