NPI | 1174983415 |
---|---|
Former Name | CAROL SCHATZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63766) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291240) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2024-05-08 |