NPI | 1639661440 |
---|---|
Former Name | KATLIN M BATCHELLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018034739) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05858) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-11-05 |