| NPI | 1548676836 |
|---|---|
| Former Name | AMY LYNN DITTENHOFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: ND 34.013502) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.013502) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-02-21 |