NPI | 1194259358 |
---|---|
Former Name | KELSEY SCHLATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT019681) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012455A) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2022-04-29 |