NPI | 1952950081 |
---|---|
Former Name | KAITLYN ELAINE SALZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09682) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1327235) |
Enumeration Date | 2019-09-11 |
Last Update Date | 2021-10-29 |