| NPI | 1285159558 |
|---|---|
| Former Name | KYLIE MATHIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017151) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-10-08 |