NPI | 1619580123 |
---|---|
Former Name | KARI JO BORCHGREVINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 17191) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-08-25 |
Last Update Date | 2024-02-29 |