| NPI | 1902022700 |
|---|---|
| Former Name | STEPHANIE M GRAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2010028880) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN PT0000007392) |
| 225100000X Physical Therapist (Licence: IL 070009662) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2010-11-08 |