| NPI | 1326221391 |
|---|---|
| Former Name | KIRSTEN LEE RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT60108407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34293) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-12-22 |