| NPI | 1588970255 |
|---|---|
| Former Name | CAROL PFIZENMAIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 007104-1) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2015-07-20 |