| NPI | 1801232491 |
|---|---|
| Former Name | KRISTEN CAROL GREGOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 17401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 40022) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-09-07 |