| NPI | 1457702722 |
|---|---|
| Former Name | KATHERINE GRACE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016026677) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-11-17 |