| 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 |