NPI | 1700906062 |
---|---|
Former Name | KATHARINE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015776) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1166608) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2016-12-20 |