NPI | 1811080765 |
---|---|
Former Name | KRISTINE DENEE KRIEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005128A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501009122) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-11-16 |