NPI | 1285419317 |
---|---|
Former Name | CAITLIN J ONDERKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT03790) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 304591) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2024-04-22 |