NPI | 1649863259 |
---|---|
Former Name | SAMANTHA KRONENBITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 28838) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT029279) |
Enumeration Date | 2021-02-15 |
Last Update Date | 2025-03-25 |