NPI | 1518936277 |
---|---|
Former Name | KRISTY JEAN KOPSAFTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT030502) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA011730) |
2251X0800X Physical Therapist, Orthopedic (Licence: PA DAPT005493) | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2023-12-07 |