NPI | 1760133169 |
---|---|
Former Name | MEGAN KRAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12026-24) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2022-01-17 |
Last Update Date | 2024-07-15 |