| NPI | 1548594336 |
|---|---|
| Former Name | KRISTINA LYNN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 22057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6290760-2401) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2019-11-20 |