| NPI | 1649667361 |
|---|---|
| Former Name | KATHERINE ERIKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01605500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024268) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-07-17 |