| NPI | 1972735686 |
|---|---|
| Former Name | CATHERINE JANE PRIDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6055) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2014-01-20 |