NPI | 1417377631 |
---|---|
Former Name | KATIE LENARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2158010) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: IL 160.005956) |
Enumeration Date | 2014-04-27 |
Last Update Date | 2024-07-19 |