NPI | 1609400548 |
---|---|
Former Name | STEPHANIE NICOLE BURKART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P19371) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0017195) |
Enumeration Date | 2020-03-01 |
Last Update Date | 2023-09-19 |