| NPI | 1619140308 |
|---|---|
| Former Name | KATIE E JANCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008176) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2016-08-24 |