NPI | 1609362664 |
---|---|
Former Name | KATRINA RENEE PILCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AK 199540) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60828525) |
Enumeration Date | 2018-07-02 |
Last Update Date | 2023-10-27 |