NPI | 1730318031 |
---|---|
Former Name | CAITLYN M CASEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028556) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011866) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2023-05-25 |