| NPI | 1114585361 |
|---|---|
| Former Name | ELLEN MARKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61271637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1318740) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-04-14 |