| NPI | 1932524253 |
|---|---|
| Former Name | KRISTEN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 10059) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2022-12-12 |