| NPI | 1205125630 |
|---|---|
| Former Name | KATHERINE L WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0013091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018370) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2015-01-20 |