NPI | 1841603420 |
---|---|
Former Name | KELSEY CLEVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016777) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011760A) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2023-08-21 |