| NPI | 1396075016 |
|---|---|
| Former Name | HOLLY LYNN WOJTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 1330-19) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 1330) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2012-08-29 |