NPI | 1669604229 |
---|---|
Former Name | KATHRYN LYNN REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12185) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18712) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2021-11-30 |