| NPI | 1871058610 |
|---|---|
| Former Name | EMILY MAUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2019003983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016768) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-01-30 |