| NPI | 1487713749 |
|---|---|
| Former Name | CAROL LEE HNATUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-1242) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-10-19 |