| NPI | 1164900460 |
|---|---|
| Former Name | EMILY IRENE KAMMERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62126) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2021-06-14 |