| NPI | 1265740906 |
|---|---|
| Former Name | KATIE ELIZABETH MATONIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01312000) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-01-11 |