NPI | 1023857323 |
---|---|
Former Name | VALERIE BELLIDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216353) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1324276) |
Enumeration Date | 2024-05-24 |
Last Update Date | 2024-05-24 |