| NPI | 1043542657 |
|---|---|
| Former Name | LETICIA MONTEIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0-30043-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009290) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2019-04-05 |