| NPI | 1821764416 |
|---|---|
| Former Name | KAITLIN MCCARTHY, SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20748) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP032136T) |
| 225100000X Physical Therapist (Licence: LA CP026225T) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-10-08 |