NPI | 1386167989 |
---|---|
Former Name | KATHERYN WATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11856) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024257) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-03-02 |