NPI | 1629788898 |
---|---|
Former Name | KRYSTAL MICHELLE BESSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT012839) |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH PT012839) |
2251S0007X Physical Therapist, Sports (Licence: OH PT012839) | |
Enumeration Date | 2022-11-29 |
Last Update Date | 2022-11-29 |