NPI | 1821348236 |
---|---|
Former Name | KALYN DOMBROSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 10333) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2006032141) |
225200000X Physical Therapy Assistant (Licence: CO 12635) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2014-07-17 |