NPI | 1962829655 |
---|---|
Former Name | CAITLIN BISBING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-006303) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014465) |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-08-04 |