| NPI | 1306519368 |
|---|---|
| Former Name | KRISTEN MCCARTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13702) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-04-24 |