NPI | 1124347745 |
---|---|
Former Name | MARIE FALCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017038) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10610) |
2251X0800X Physical Therapist Orthopedic (Licence: AZ 10610) | |
Enumeration Date | 2010-05-21 |
Last Update Date | 2015-07-18 |