NPI | 1790046142 |
---|---|
Former Name | MARGARET KRIDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 010948) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012640) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2023-02-01 |