| NPI | 1649547290 |
|---|---|
| Former Name | KELLY ROSE HAMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13371) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |