NPI | 1023232279 |
---|---|
Former Name | KISHNA N SISCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18059) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 18059) |
2251X0800X Physical Therapist, Orthopedic (Licence: FL 18059) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-03-24 |