NPI | 1417405556 |
---|---|
Former Name | KRISTI ANN THORWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12110) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016038138) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2023-04-05 |