NPI | 1447531025 |
---|---|
Former Name | KAREN PELTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021170) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207090) |
225100000X Physical Therapist (Licence: MA 19082) | |
225100000X Physical Therapist (Licence: TX 1198828) | |
Enumeration Date | 2011-09-08 |
Last Update Date | 2021-12-22 |