| NPI | 1245382233 |
|---|---|
| Former Name | STEPHANIE LYNN DISHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021402) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6267) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-04-20 |