| NPI | 1962886481 |
|---|---|
| Former Name | KATIE DORSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 61082) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-07-21 |