| NPI | 1033700455 |
|---|---|
| Former Name | KARA TEIXEIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MA 9855) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: RI PTA01325) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |