| NPI | 1467790741 |
|---|---|
| Former Name | LAUREN MATTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002967) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021273) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2014-12-03 |