| NPI | 1306007208 |
|---|---|
| Former Name | AYAKO KRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 14876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA pt14876) |
| 225100000X Physical Therapist (Licence: CO 9236) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-03-15 |