NPI | 1649759150 |
---|---|
Former Name | KRISTI KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-028747) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18249) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2024-12-11 |