NPI | 1255379087 |
---|---|
Former Name | KATHERINE A MONTLEAON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 6404) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT28408) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2017-03-29 |