| NPI | 1780274688 |
|---|---|
| Former Name | KAITLYN L PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046545) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-02-08 |