NPI | 1285982561 |
---|---|
Former Name | KATHARINA K TALLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019545) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012028647) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2016-01-06 |