| NPI | 1679018782 |
|---|---|
| Former Name | KATELYN M LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01813200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22718) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-09-06 |