NPI | 1508006842 |
---|---|
Former Name | KIERSTEN GERBERICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PTFL#24576) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24576) |
Enumeration Date | 2009-02-26 |
Last Update Date | 2011-09-12 |