| NPI | 1689943409 |
|---|---|
| Former Name | KENDALL JOAN WILHELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011404A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001840A) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2015-03-25 |