| NPI | 1174073357 |
|---|---|
| Former Name | KRISTINE FRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022735) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2024-04-10 |