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 |