NPI | 1750838033 |
---|---|
Former Name | KATHERINE ANN BORGELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016358) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018157) |
Enumeration Date | 2016-09-05 |
Last Update Date | 2022-09-02 |