| NPI | 1780294280 |
|---|---|
| Former Name | KAITLIN ELIZABETH WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013894A) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2024-02-13 |