| NPI | 1609347707 |
|---|---|
| Former Name | KAYLA LOUGHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27215) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872406) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-11-03 |