| NPI | 1689273815 |
|---|---|
| Former Name | STEPHANIE HOPE KITCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014246) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-28 |