NPI | 1902275332 |
---|---|
Former Name | KATHERINE PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 22348) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: FL 30643) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2023-06-09 |