| NPI | 1124409495 |
|---|---|
| Former Name | ALEXANDRA JARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 2045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1968) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-06-10 |