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 |