| NPI | 1760604839 |
|---|---|
| Former Name | TRISHA ANN STAINBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007026350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03932) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-11-28 |