| NPI | 1659367050 |
|---|---|
| Former Name | MICHELLE L BARTKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6453) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |