NPI | 1316322258 |
---|---|
Former Name | KAYLA HORIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14165050-2401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010526) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2024-09-30 |