NPI | 1679777619 |
---|---|
Other Name | KATHY ANNETTE SUMMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 6047A) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA1340) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2007-07-08 |