| NPI | 1134345655 |
|---|---|
| Former Name | ELAINE WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1194087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023919) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-06-20 |