NPI | 1346787348 |
---|---|
Former Name | KRISTI RAE CARAGLIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09004R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62054) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2021-12-16 |