| NPI | 1659069201 |
|---|---|
| Former Name | ANNELISE SHRADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216181) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002412) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-08-13 |