| NPI | 1821157280 |
|---|---|
| Former Name | KRISTEN ANN SZERLOG-BOUCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2573) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-01-08 |