| NPI | 1649312687 |
|---|---|
| Former Name | KATHLEEN M. O'NEILL-MANRIQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 8058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 004249) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-01-20 |