| NPI | 1871201467 |
|---|---|
| Former Name | KESHIA LYN SCHOENADEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 002152) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604267) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2023-07-19 |