| NPI | 1194889915 |
|---|---|
| Former Name | KRISTEN RAE PODEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013314) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010153) |
| 225100000X Physical Therapist (Licence: NM 3341) | |
| 225100000X Physical Therapist (Licence: IL 70015778) | |
| 225100000X Physical Therapist (Licence: TX 1170918) | |
| 225100000X Physical Therapist (Licence: NC P12257) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-02-18 |