| NPI | 1750530580 |
|---|---|
| Former Name | KATHLEEN ANNA JUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 8159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10622) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2025-03-16 |