| NPI | 1720334295 |
|---|---|
| Former Name | ALISSA JEAN KRAJECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0011823) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001073) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2013-05-01 |