NPI | 1023435344 |
---|---|
Former Name | VANESSA GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018798) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10807) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-03-07 |