| NPI | 1750371266 |
|---|---|
| Former Name | KENDRA LOUISE FORSYTHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-9090) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2009-05-15 |