| NPI | 1346587631 |
|---|---|
| Former Name | KELLI M CROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT39615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39615) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2018-08-15 |