| NPI | 1063183507 |
|---|---|
| Former Name | JOSELYNE VILLA-FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03521) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2020017808) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2025-01-21 |