| NPI | 1679969265 |
|---|---|
| Former Name | REBECCA KATHRYN WEICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 013419) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-03-12 |