NPI | 1538984703 |
---|---|
Former Name | KAYLA DEBORAH FINGERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2024-0331) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 13184) |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-12-04 |