NPI | 1861565616 |
---|---|
Former Name | KATHERINE E KOLSHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013341) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015840) |
2251X0800X Physical Therapist, Orthopedic (Licence: MN 9292) | |
2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7323) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2021-10-15 |