| NPI | 1902004690 |
|---|---|
| Former Name | SHEMILY BABY KUNNATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2997) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029213-1) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |