| NPI | 1104193671 |
|---|---|
| Former Name | TAI VICTORIA MCDONOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38488) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-11-06 |