| NPI | 1235568684 |
|---|---|
| Former Name | NICOLE BANKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI003852) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE009567) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2016-02-01 |