NPI | 1124080551 |
---|---|
Former Name | JULIE L ANUSZKIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204000) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38183) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2016-03-14 |