| NPI | 1922544006 |
|---|---|
| Former Name | TAYLOR MARIE KAUL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017003424) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-04-27 |