| NPI | 1871250936 |
|---|---|
| Former Name | MICHELLE RITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20552) |
| 225100000X Physical Therapist (Licence: OH PT009536) | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |