| NPI | 1124326673 |
|---|---|
| Former Name | YVETTE PIENIADZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214647) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL11117) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-11-28 |