NPI | 1487053567 |
---|---|
Former Name | KRISTIN PIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030100) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25150) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2022-08-25 |