| NPI | 1427065069 |
|---|---|
| Former Name | KACEY O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1174) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-10-04 |