NPI | 1659680437 |
---|---|
Former Name | ANNA CATHERINE KOTEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20509) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12732) |
225100000X Physical Therapist (Licence: OR 6323) | |
225100000X Physical Therapist (Licence: WA PT30179121) | |
Enumeration Date | 2010-09-28 |
Last Update Date | 2020-04-10 |