| NPI | 1578721171 |
|---|---|
| Former Name | PAULA KRISTEN WINTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20128) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8174) |
| 225200000X Physical Therapy Assistant (Licence: NY 007587-1) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2015-06-07 |