NPI | 1649579418 |
---|---|
Former Name | KATHERINE ANN HARBUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 5753) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 12887) |
Enumeration Date | 2011-03-20 |
Last Update Date | 2011-03-20 |