NPI | 1124349519 |
---|---|
Former Name | ROSE ANN CLARETE YU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01351100) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032391-1) |
Enumeration Date | 2010-06-19 |
Last Update Date | 2011-01-12 |