NPI | 1801221908 |
---|---|
Former Name | CHRISTA HARBACHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12336) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022070) |
225100000X Physical Therapist (Licence: IA 005292) | |
Enumeration Date | 2013-09-08 |
Last Update Date | 2021-07-22 |