NPI | 1275965774 |
---|---|
Former Name | KATHERINE ZUPAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9454) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 9454) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2025-07-23 |