| NPI | 1992844534 |
|---|---|
| Former Name | KATHLEEN MAURA DESMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60229092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070010688) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-01-31 |