| NPI | 1528491909 |
|---|---|
| Former Name | ELIZABETH MICHELLE MOSTEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1230648) |
| 225100000X Physical Therapist (Licence: SD 1535) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-03-17 |