| NPI | 1760865125 |
|---|---|
| Former Name | ALICIA MARIE KURTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 11544PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000189) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT007130L) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |