NPI | 1992019293 |
---|---|
Former Name | KATE PUKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207213) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871146) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2013-08-14 |