NPI | 1346514874 |
---|---|
Former Name | MEGAN KATHLEEN SCHLITTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11812-024) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8785) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2017-03-06 |