| NPI | 1578099172 |
|---|---|
| Former Name | HANNAH RAE OVERFELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017022189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05623) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-09-23 |