| NPI | 1821379124 |
|---|---|
| Former Name | LAUREN A KOEHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26717) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1182793) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |