NPI | 1770833733 |
---|---|
Former Name | KRISTEN GALLIPANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035421) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010186) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2020-11-12 |