| NPI | 1578048690 |
|---|---|
| Former Name | KATELYN EBERHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 05011954A.) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 15410) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-01-12 |