NPI | 1790118735 |
---|---|
Former Name | KARA ELIZABETH KINCHLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1232431) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2013-08-13 |
Last Update Date | 2022-03-18 |