| NPI | 1689041295 |
|---|---|
| Former Name | KATELYN CHRISTOPHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: SC 7683) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: SC 7683) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-01-20 |