NPI | 1497968416 |
---|---|
Former Name | KIRSTIN KOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2809) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT32500) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2014-11-05 |