| NPI | 1316596638 |
|---|---|
| Other Name | KATIE A WILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35121) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT35121) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2022-08-04 |