NPI | 1811128895 |
---|---|
Former Name | RACHEL KINSUGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PT019937) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019937) |
Enumeration Date | 2009-08-07 |
Last Update Date | 2014-03-27 |