| NPI | 1508829516 |
|---|---|
| Former Name | WENDY KRISTINE ROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P19911) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: ID PT-2227) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-03-24 |