NPI | 1558829929 |
---|---|
Former Name | RACHEL LEANNA SEDLACEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1332588) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH9292) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2022-04-11 |