NPI | 1710210109 |
---|---|
Former Name | COLLEEN E KARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206156) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-33229) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2024-11-04 |