| NPI | 1619695939 |
|---|---|
| Former Name | KAREN AULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015044A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61296468) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-05-24 |