NPI | 1376968974 |
---|---|
Former Name | KRISTEN GRABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022882) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT023284) |
225100000X Physical Therapist (Licence: NJ 40QA01536700) | |
Enumeration Date | 2014-02-19 |
Last Update Date | 2023-05-25 |