| NPI | 1538444062 |
|---|---|
| Former Name | KRISTA LYNN BEDNAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9542) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11801-024) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2022-04-18 |