| NPI | 1437539004 |
|---|---|
| Former Name | KERRY MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9121) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-10-06 |