| NPI | 1750731352 |
|---|---|
| Former Name | MICHELE GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13422-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13422) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-08-26 |