NPI | 1083988109 |
---|---|
Former Name | KRISTEN FIOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19862) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009751) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2019-07-19 |