NPI | 1285286070 |
---|---|
Former Name | KATHERINE ANN AINSWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212092) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P19497) |
Enumeration Date | 2019-07-11 |
Last Update Date | 2021-06-17 |