NPI | 1720510043 |
---|---|
Former Name | CHRISTINA R OLBRANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13769) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-28 |
Last Update Date | 2019-02-26 |