| NPI | 1437104841 |
|---|---|
| Former Name | LINDA K GRAUVOGL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 774019) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 1813) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-08-10 |