| NPI | 1538639323 |
|---|---|
| Former Name | PATRICIA ANN KOOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017358) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501017358) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-08-27 |