| NPI | 1528551892 |
|---|---|
| Former Name | KATHERINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026865) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-09-15 |