NPI | 1376922070 |
---|---|
Former Name | CARLI LYNN HRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16084-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9924) |
Enumeration Date | 2015-05-27 |
Last Update Date | 2022-09-26 |