| NPI | 1710651815 |
|---|---|
| Former Name | KELSEY TOMLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13618) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-07-26 |