NPI | 1740894633 |
---|---|
Former Name | KATHRYN SABYL BAROUSSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-025231) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020028438) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2025-09-19 |