NPI | 1508278490 |
---|---|
Former Name | KATY SALKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21422) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3889) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2021-07-26 |