| NPI | 1750365755 |
|---|---|
| Former Name | HOLLY K FRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007726) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2021-01-28 |