NPI | 1619106317 |
---|---|
Former Name | EMILY KOLZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021762) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL-10431) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2012-02-13 |