| NPI | 1497791586 |
|---|---|
| Former Name | ANNELIESE KRUPPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 005429) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-01-04 |