NPI | 1023396884 |
---|---|
Former Name | EMILY RENOVITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NE 4069) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT - 1742) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2025-04-16 |