NPI | 1831485473 |
---|---|
Former Name | KIRSTEN MICHELLE RIPPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039539) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19527) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2019-07-19 |