| NPI | 1093123358 |
|---|---|
| Former Name | MARIE PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL19709) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT011526) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-11-25 |