| NPI | 1851583470 |
|---|---|
| Former Name | KATERINA PRUSOVA, MEADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33744) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2020-04-02 |