NPI | 1235505017 |
---|---|
Former Name | KATHERINE WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10496) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2015-08-17 |
Last Update Date | 2025-07-17 |