| NPI | 1720374242 |
|---|---|
| Former Name | ELISSA A SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11235) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-06-23 |