NPI | 1073512737 |
---|---|
Former Name | JESSICA N. CAPARAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10614) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204340) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2014-09-02 |