| NPI | 1003047861 |
|---|---|
| Former Name | EMILY JOANNE LEVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18704) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MT PTP-PT-LIC-12859) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2021-12-03 |