| NPI | 1477851814 |
|---|---|
| Former Name | KATRINA JOANN STONEBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37164) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37164) | |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2018-03-17 |