| NPI | 1821353129 |
|---|---|
| Former Name | NICOLE MARIE BARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010660) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-05-21 |