NPI | 1194279091 |
---|---|
Former Name | KALA MARIE SPALDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4709) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291803) |
225100000X Physical Therapist (Licence: CO PTL.0014144) | |
Enumeration Date | 2016-08-09 |
Last Update Date | 2023-05-01 |