| NPI | 1437307840 |
|---|---|
| Former Name | KELLIE MAUREEN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027470-1) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2018-01-03 |