| NPI | 1891083762 |
|---|---|
| Former Name | KATHRYN CLARE MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT010947) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11703) |
| 225100000X Physical Therapist (Licence: NY 033906) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-07-21 |