| NPI | 1285142497 |
|---|---|
| Former Name | KELSEY RAE LAFOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13289) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-01-29 |