NPI | 1528585080 |
---|---|
Former Name | KATHRYN FECKLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 184032) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2020-06-08 |