| NPI | 1003889239 |
|---|---|
| Former Name | ANGELA NEISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024735) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KS 1102679) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-05-08 |