| NPI | 1558617043 |
|---|---|
| Former Name | KRSTEN LIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7268) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-04-26 |