| NPI | 1447403001 |
|---|---|
| Former Name | CATHERINE ELIZABETH KIDDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030624) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-03-30 |