NPI | 1265600043 |
---|---|
Former Name | KRISTA ANN HORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032743) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22470) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2024-11-01 |