| NPI | 1548616253 |
|---|---|
| Former Name | KRISTIN NICOLE FRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022157) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2021-12-14 |