| NPI | 1093487696 |
|---|---|
| Former Name | ERIKA MALTESE GANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 299821) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-08-15 |