| NPI | 1801959119 |
|---|---|
| Former Name | ERIN MARIE SKORACZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13321-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7719) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-02-21 |