| NPI | 1700323201 |
|---|---|
| Former Name | KIRA MARIE ZEVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1289530) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-02-10 |