NPI | 1316278005 |
---|---|
Former Name | KATHERINE KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5448) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 19574) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2014-11-18 |