| NPI | 1760760441 |
|---|---|
| Former Name | BRIDGET KAY LEUKUMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 9801652-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8814) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2022-07-21 |