NPI | 1073825022 |
---|---|
Former Name | MARIA B NITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9284) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11488-024) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2022-10-12 |