| NPI | 1508341314 |
|---|---|
| Former Name | REBECCA PAIGE ZYCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27189) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2022-07-25 |