| NPI | 1356537252 |
|---|---|
| Former Name | KATHLEEN ANN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 3857-024) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |