| NPI | 1396065579 |
|---|---|
| Former Name | CHRISTINA DEANN IMGARTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010017704) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2007034692) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2013-08-06 |