| NPI | 1669692679 |
|---|---|
| Former Name | KERRI L ZIETLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 2274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02274) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-09-28 |