NPI | 1740666437 |
---|---|
Former Name | STEPHANIE FICHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60973128) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT024648) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2019-08-14 |