| NPI | 1982379954 |
|---|---|
| Former Name | KAYLEIGH ESSIAMBRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501301840) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502004799) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-01-03 |