| NPI | 1447213137 |
|---|---|
| Former Name | PAMELA PRAHM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 5173) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MN 5173) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-04-02 |