NPI | 1346853942 |
---|---|
Former Name | LAUREN KARKANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213564) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002891) |
Enumeration Date | 2020-08-25 |
Last Update Date | 2023-12-27 |