| NPI | 1619111267 |
|---|---|
| Former Name | ALYSON STEFANIE ETTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT021841) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 031150-1) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: DE j10002251) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2024-01-03 |