| NPI | 1457715872 |
|---|---|
| Former Name | KATY SCARLETT PAREDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012416) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-03-04 |