| NPI | 1326389602 |
|---|---|
| Former Name | KELLY ANNE SPIEGELHALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 291421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208787) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2016-08-12 |