NPI | 1467191304 |
---|---|
Former Name | NATALIE KOSCHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1364668) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3128616) |
2251P0200X Physical Therapist, Pediatrics (Licence: TX 3128616) | |
2251P0200X Physical Therapist, Pediatrics (Licence: TX 1364668) | |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-12-14 |