NPI | 1427549203 |
---|---|
Former Name | KAITLYN ISELBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33545) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH11985) |
225100000X Physical Therapist | |
2251G0304X Physical Therapist, Geriatrics | |
2251N0400X Physical Therapist, Neurology | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-08-26 |