NPI | 1972807378 |
---|---|
Former Name | KAREN LYNN EBERL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4221) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P22437) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2024-04-07 |