NPI | 1053566372 |
---|---|
Former Name | INA FRANCES PIMENTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02192) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21378) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2014-12-10 |