| NPI | 1558405290 |
|---|---|
| Former Name | STEPHANIE BATEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10086-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015469) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-07-21 |