| NPI | 1700444973 |
|---|---|
| Former Name | KAILA POTTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11451) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MN 11451) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-09-23 |