| NPI | 1427126598 |
|---|---|
| Former Name | LINDSAY GANZOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 1110-19) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 1110-019) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-08-27 |