| NPI | 1467419267 |
|---|---|
| Former Name | KATHRYN E MALOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1439) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7037) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-04-26 |