| NPI | 1942221536 |
|---|---|
| Former Name | KRISTEN LEE STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002216) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004573) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |