| NPI | 1255725925 |
|---|---|
| Former Name | KENDALL BECKSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014177A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-09-20 |