Individual
MS. KATHLEEN IFFLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000561
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000041626
—
DE
01
—
P01399332
RR MEDICARE
DE
Enumeration date
11/10/2005
Last updated
02/16/2015
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