| NPI | 1962264036 |
|---|---|
| Former Name | KELLY ANN CAPRETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 9991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP027487T) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |