| NPI | 1417402710 |
|---|---|
| Former Name | KAITLYN R ADAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044028-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22598) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2019-02-18 |