| NPI | 1053324236 |
|---|---|
| Former Name | RENEE JEAN VOPAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT 2425) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-12-10 |