NPI | 1386882090 |
---|---|
Former Name | KATE ELAINE MASSIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1185721) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60072353) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2014-03-20 |