| NPI | 1265002620 |
|---|---|
| Former Name | HANNAH BLYSTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014209A) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IN 05014209A) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-08-04 |