NPI | 1730972001 |
---|---|
Former Name | KRISTEN HOLCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2014026962) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2014029943) |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-05-28 |