| NPI | 1528518057 |
|---|---|
| Former Name | LINDSAY ANNE WALCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60668554) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-03-23 |