| NPI | 1568637130 |
|---|---|
| Former Name | MICHELLE ANN HOERNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5828-024) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |