NPI | 1992126676 |
---|---|
Former Name | KATHERINE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020484) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016566) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2018-06-13 |