| NPI | 1245756766 |
|---|---|
| Former Name | SHAYNA MATOUSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017110) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT017110) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-12-07 |