| NPI | 1942735311 |
|---|---|
| Former Name | EMILY CHRISTINE FETNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1369237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4920) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-06-21 |