| NPI | 1528210630 |
|---|---|
| Former Name | KRISTINE ANN LADD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24308) |
| 225100000X Physical Therapist (Licence: CA PT 22516) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-10-03 |