| NPI | 1124142302 | 
|---|---|
| Former Name | APRIL REPATACODO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171W00000X Contractor (Licence: NY 027876)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 050008918A)  | 
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2020-07-30 |