NPI | 1700138856 |
---|---|
Former Name | KRISTEN ZAROSINSKI GRBAVAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR PT04909) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009008) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2017-03-08 |