| NPI | 1255045316 |
|---|---|
| Former Name | EILEEN HINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04423) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017039588) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |