| NPI | 1629258017 |
|---|---|
| Former Name | KATHLEEN MARIE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205211) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 020302369) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-03-09 |