NPI | 1770976243 |
---|---|
Former Name | VALERIE E KLOBERDANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012293) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11456) |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2015-03-09 |
Last Update Date | 2016-06-29 |