| NPI | 1306262720 |
|---|---|
| Other Name | ALLISON VLIETSTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 112057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020587) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2025-07-07 |