| NPI | 1902965189 |
|---|---|
| Former Name | KATHLEEN KAY BUNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010838) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-09463) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-08-22 |