| NPI | 1497873673 |
|---|---|
| Former Name | ANN MICHELLE HYDUCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 0605144) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NH CP031087A) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-05-15 |