NPI | 1558970970 |
---|---|
Former Name | KATIE SCHERMELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 19260) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MT PTP-PT-LIC-19260) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2021-02-25 |