NPI | 1922472687 |
---|---|
Former Name | KRISTEN ANN CORBETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 2899) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 15350) |
Enumeration Date | 2015-11-18 |
Last Update Date | 2015-11-18 |