NPI | 1295302867 |
---|---|
Former Name | KELSEY PALACIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348739) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3126999) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-06-24 |