| NPI | 1740655919 |
|---|---|
| Former Name | LYDIA GRACE NITCHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 28386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039664) |
| 225100000X Physical Therapist (Licence: MD 28386) | |
| 2251S0007X Physical Therapist, Sports (Licence: MD 28386) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-09-08 |