NPI | 1952840266 |
---|---|
Former Name | KATHERINE MCLELLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013994A) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL4633) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2025-07-08 |