| NPI | 1720032584 |
|---|---|
| Former Name | KRISTIN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 6621) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CT 6621) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-05-18 |