NPI | 1871877100 |
---|---|
Former Name | KATHRYN G MATHISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60223154) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13458) |
225100000X Physical Therapist (Licence: CA PT 39010) | |
Enumeration Date | 2011-10-05 |
Last Update Date | 2022-03-22 |