NPI | 1063033827 |
---|---|
Former Name | DEANN MARIE PIAZZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA PTA5287) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-04 |