| NPI | 1306213277 |
|---|---|
| Former Name | KATELYN SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1277063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL PT 070021791) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2017-06-20 |