NPI | 1962797282 |
---|---|
Former Name | RAINE MICHELLE KAUFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04295) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS T-02971) |
225100000X Physical Therapist (Licence: NV 2776) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2022-10-06 |