| NPI | 1972891158 |
|---|---|
| Former Name | KRISTIN M ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011031144) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2023-02-08 |