NPI | 1306154570 |
---|---|
Former Name | CAITLYN NICOLE ZUNDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1575) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 37042) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2012-02-23 |