| NPI | 1568740629 |
|---|---|
| Former Name | KELLY MARIE GHIOTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014288) |
| 225100000X Physical Therapist (Licence: IN 05010623A) | |
| 225100000X Physical Therapist (Licence: TN 10402) | |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2021-06-09 |