NPI | 1710334297 |
---|---|
Former Name | KATHLEEN MALARCHIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13347) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 5024) |
225X00000X Occupational Therapist (Licence: ID 1715) | |
225X00000X Occupational Therapist (Licence: CO 4285) | |
Enumeration Date | 2016-05-16 |
Last Update Date | 2018-03-17 |