NPI | 1477700268 |
---|---|
Former Name | KRYSTAL LYNN MULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002307) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24932) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2021-10-13 |