| NPI | 1184016925 |
|---|---|
| Former Name | KAYLA WHIPPLE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01600900) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-07-21 |