| NPI | 1669872917 |
|---|---|
| Former Name | KELSEY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209022) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2023-12-08 |