| NPI | 1629221890 |
|---|---|
| Former Name | KATHLEEN ANN POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 009268-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 009268-1) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2012-06-11 |