| NPI | 1922650431 |
|---|---|
| Former Name | EMILY PASSINT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15252-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 4765) |
| 225100000X Physical Therapist (Licence: MN 11684) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-11-11 |