NPI | 1215088414 |
---|---|
Former Name | KATRINA ABATIELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14.010423) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0001076) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2015-04-08 |