| NPI | 1215438007 |
|---|---|
| Former Name | KELLY MARIE NASLONSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042777-1) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2023-11-01 |