| NPI | 1184052862 |
|---|---|
| Former Name | NICOLE ACHENBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10573) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-09-30 |