| NPI | 1609196005 |
|---|---|
| Former Name | ELIZABETH BOGENSCHUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010407A) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2016-11-09 |