| NPI | 1659617769 |
|---|---|
| Former Name | KRISTIN SWEPSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11307) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2017-02-06 |