NPI | 1174005045 |
---|---|
Former Name | HOLLY KRAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11277) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 14771) |
Enumeration Date | 2018-09-06 |
Last Update Date | 2022-06-17 |