| NPI | 1831175710 |
|---|---|
| Former Name | ALISON MARIE DEICHERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2011000805) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03349) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-03-16 |