NPI | 1013207992 |
---|---|
Former Name | MICHELLE CANARIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040091-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37651) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2017-02-15 |