| NPI | 1174581672 |
|---|---|
| Former Name | CAROL MARIE KEMMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 011662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012702) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-09 |