NPI | 1083015473 |
---|---|
Former Name | SAMANTHA E ROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023772) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0014545) |
225100000X Physical Therapist (Licence: WA PT61418800) | |
Enumeration Date | 2014-09-04 |
Last Update Date | 2023-11-07 |