NPI | 1992016729 |
---|---|
Former Name | KRISTEN A. RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV PTA002120) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2008-2443) |
Enumeration Date | 2010-06-26 |
Last Update Date | 2023-02-22 |