| NPI | 1649725441 |
|---|---|
| Former Name | ANNA WETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 61766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61766) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-09-30 |