| NPI | 1942412424 |
|---|---|
| Former Name | KATHRYN A MANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17276) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CT 000247) |
| 225100000X Physical Therapist (Licence: CT 008467) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-11-27 |