| NPI | 1720533151 |
|---|---|
| Former Name | KATHERINE A RANDAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62111) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2018-06-04 |