NPI | 1962955427 |
---|---|
Other Name | KELSEY LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 047206) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1277758) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2024-09-03 |