NPI | 1891997086 |
---|---|
Former Name | KATIE NEWCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25909) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2017-05-09 |