| NPI | 1154705945 |
|---|---|
| Former Name | KATHRYN NICOLE RAINVILLE, LEBLANC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 012338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013367) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2024-01-09 |