NPI | 1356789663 |
---|---|
Former Name | KAITLYN ANN SLUKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20960) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006234) |
225100000X Physical Therapist (Licence: TX 1250327) | |
225100000X Physical Therapist (Licence: UT 8523324-2401) | |
Enumeration Date | 2013-06-08 |
Last Update Date | 2023-05-08 |