| NPI | 1861775298 |
|---|---|
| Former Name | KELLI ANGELINA THORP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33732) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-03-01 |