| NPI | 1417406109 |
|---|---|
| Former Name | KAITLIN HARTNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01686700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018151) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-05-18 |