NPI | 1043729494 |
---|---|
Former Name | CASSANDRA A MANZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30163) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23037) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2023-07-19 |