| NPI | 1487192951 |
|---|---|
| Former Name | LAUREN A NEDEROSTEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025838) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-01-03 |