| NPI | 1417997628 |
|---|---|
| Former Name | COLLEEN B. MCPIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 006609) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CT 006609) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-12-18 |