| NPI | 1750770228 |
|---|---|
| Former Name | KAREN MARISSA KRAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036908-1) |
| 225100000X Physical Therapist (Licence: CA 37979) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2022-12-08 |