| NPI | 1194987149 |
|---|---|
| Former Name | KRISTINE R CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MT 2150PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2150PT) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-10 |