| NPI | 1275936775 |
|---|---|
| Former Name | MICHELLE E BENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012109A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014988) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2020-01-30 |