| NPI | 1760422414 |
|---|---|
| Former Name | KATHERINE L PANETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT12668) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205569) |
| 225100000X Physical Therapist (Licence: NV 3202) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-08-20 |