| NPI | 1053555011 |
|---|---|
| Former Name | LAUREN ANN ANZALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1304092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01309800) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2024-08-21 |