| NPI | 1538401021 |
|---|---|
| Former Name | LAUREN KRYSTAL GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 3123434) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2091639) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2019-07-15 |