| NPI | 1972676864 |
|---|---|
| Former Name | VALERIE CELESTE WITTMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4258) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO 6367) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-12-21 |