| NPI | 1538248810 |
|---|---|
| Other Name | KATHLEEN ANN BANISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070002547) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 4863024) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |