| NPI | 1265995765 |
|---|---|
| Former Name | TABATHA MARIE TRAUNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013077A) |
| 225100000X Physical Therapist (Licence: AZ LPT-30308) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-06-27 |