NPI | 1801191028 |
---|---|
Former Name | KRYSTA LYNN CUTTING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23547) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871235) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2019-05-23 |