| NPI | 1780140467 |
|---|---|
| Former Name | LEAH FAITH FIFELSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1312434) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2022-01-17 |