| NPI | 1912462862 |
|---|---|
| Former Name | BAILEY ELIZABETH KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22075) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WV 004075) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-09-05 |