| NPI | 1538653845 |
|---|---|
| Former Name | SAVANNAH HELTZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TP2018064) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-02-03 |