| NPI | 1588193304 |
|---|---|
| Former Name | ABIGAIL L MYTTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 12960) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MT 12960) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2020-04-01 |