NPI | 1487251559 |
---|---|
Former Name | REAGAN KATHLEEN KAISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10009) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AL PTH10009) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2023-11-29 |