NPI | 1235430711 |
---|---|
Former Name | AMY JO KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004536) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04114) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2015-10-14 |