NPI | 1033206370 |
---|---|
Former Name | CRISTINA RAYNE BALLET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11851) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 20031) |
2251X0800X Physical Therapist, Orthopedic (Licence: DE J10001602) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2017-08-22 |