NPI | 1538536206 |
---|---|
Former Name | MARCI KATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4600) |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA 21892) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2020-07-28 |