| NPI | 1508437153 |
|---|---|
| Former Name | KATIE JUNE LUDINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301411) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64112) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-09-12 |