| NPI | 1164555975 |
|---|---|
| Former Name | KATHLEEN MARIE GROTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0003763) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002020) |
| 225100000X Physical Therapist (Licence: MD 19709) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-04-22 |