NPI | 1689835472 |
---|---|
Former Name | KERI ANN KUNSCHIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170769) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 24019) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2011-02-14 |