| NPI | 1275074825 |
|---|---|
| Former Name | MICHELLE NOGALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017026982) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2021-04-28 |