| NPI | 1700249182 |
|---|---|
| Former Name | CHRISTINE MARIE BIRKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 10752) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 31091) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |