NPI | 1154767598 |
---|---|
Former Name | KERRI A GHERARDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 12153) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0012153) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2022-12-07 |