| NPI | 1952038309 |
|---|---|
| Former Name | KRISTEN CORREIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1362069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022030821) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-09-04 |