NPI | 1164661153 |
---|---|
Former Name | KERRY A HYLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11173) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10237) |
Enumeration Date | 2009-02-13 |
Last Update Date | 2016-04-14 |