| NPI | 1710402342 |
|---|---|
| Former Name | MADELYN SCHRICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14776) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211365) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-05-11 |