| NPI | 1205896677 |
|---|---|
| Former Name | KRISTEN KANTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 11629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 3079) |
| 225100000X Physical Therapist (Licence: NC 4250) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2009-10-20 |