NPI | 1699175281 |
---|---|
Former Name | KATHERINE E WOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015605) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208991) |
2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0015605) | |
Enumeration Date | 2014-09-02 |
Last Update Date | 2021-06-15 |