| NPI | 1285123729 |
|---|---|
| Former Name | ALLISON ANN SECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018022257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-5751) |
| 225100000X Physical Therapist (Licence: KS 11-06054) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-12-13 |