| NPI | 1235309147 |
|---|---|
| Former Name | PATRICIA ANN ILLIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP044010T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21595) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2025-09-30 |