| NPI | 1184350886 |
|---|---|
| Former Name | MARY K LEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5465) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-11-08 |