| NPI | 1306021548 |
|---|---|
| Former Name | TIFFANY RATHBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029882-1) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2012-01-17 |