| NPI | 1275572661 |
|---|---|
| Former Name | KATHLEEN TAIBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202695) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: 2305202695) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-11-29 |