NPI | 1730157785 |
---|---|
Former Name | KRISTEN K HOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL 0017440) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT17440) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2011-03-16 |