NPI | 1619367208 |
---|---|
Former Name | KENDALL VOELKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011811) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34265) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2018-12-19 |