| NPI | 1376023481 |
|---|---|
| Former Name | MICHELLE L BADERTSCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA28365) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH AT002092) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL AL5164) | |
| 225200000X Physical Therapy Assistant (Licence: OH PTA10288) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |