| NPI | 1649753781 |
|---|---|
| Former Name | KAITLYN NEVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11539) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2022-03-17 |