NPI | 1508394602 |
---|---|
Former Name | MEGAN L KAPRAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63691) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-001626) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 001144) | |
Enumeration Date | 2017-06-01 |
Last Update Date | 2021-06-02 |