| NPI | 1285295287 |
|---|---|
| Former Name | STEPHANIE GRETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24196) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044413) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2025-08-10 |