| NPI | 1356899249 |
|---|---|
| Former Name | RACHEL ALYSE NIEDERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019743) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |