NPI | 1548350234 |
---|---|
Former Name | KRISTIN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10820) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 10820) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-12-19 |