NPI | 1619221496 |
---|---|
Former Name | KARLA MICHELLE HASSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 018190) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006124) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2020-01-07 |