NPI | 1609855519 |
---|---|
Former Name | KATHERINE E POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2014) |
Additional Taxonomies | 171W00000X Contractor (Licence: MT 2014) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2024-07-25 |