| NPI | 1306171350 |
|---|---|
| Former Name | MICHELLE K FOOSANER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28903) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: CA 28903) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2023-10-17 |