| NPI | 1659785483 |
|---|---|
| Former Name | KATIE M FAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-41199) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2014019433) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2018-10-18 |