| NPI | 1225325756 |
|---|---|
| Former Name | KAYLA ELIZABETH GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206538) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-12-11 |