| NPI | 1235614538 |
|---|---|
| Former Name | KATELYN DEMALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 040QA0184480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0004050) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-03-09 |