| NPI | 1053573584 |
|---|---|
| Former Name | MARIA ELIZABETH STATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11105-024) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-05-15 |