| NPI | 1083267793 |
|---|---|
| Former Name | MIRANDA CELELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013533A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-12-04 |