| NPI | 1780303438 |
|---|---|
| Former Name | KATHLEEN NICOLE ROUSSET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD CP030187T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1366819) |
| 225100000X Physical Therapist (Licence: DC CP026269T) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2024-03-30 |