| NPI | 1831271113 |
|---|---|
| Former Name | VICTORIA MARIE KEITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1223538) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT017126) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-08-26 |