| NPI | 1326698135 |
|---|---|
| Former Name | KIRSTEN FOLZENLOGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24563) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212732) |
| 225100000X Physical Therapist (Licence: OH PT018059) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2023-11-27 |