| NPI | 1114483195 |
|---|---|
| Former Name | MADELEINE MARGARET O'NEIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 25541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027370) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-02-16 |