NPI | 1821662891 |
---|---|
Former Name | LAUREN TONDL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4201) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 110263) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2025-07-02 |