| NPI | 1669902953 |
|---|---|
| Former Name | ANNALISE PAULINA ROLFES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 09706) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |