| 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 | 2022-07-21 |