| NPI | 1124289954 |
|---|---|
| Former Name | KATHLEEN MERCADO SISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070016179) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24432) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-08-05 |