| NPI | 1811394893 |
|---|---|
| Former Name | KAILEY PATTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016935) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2022-02-02 |