NPI | 1871117671 |
---|---|
Former Name | MONICA HACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06450) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020021387) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2023-07-17 |