| NPI | 1710326210 |
|---|---|
| Former Name | CATHERINE A LUEBBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2013028659) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2008030516) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2015-03-18 |