NPI | 1114320744 |
---|---|
Former Name | ANGELA MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT41356) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41356) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2024-10-17 |