| NPI | 1134408875 |
|---|---|
| Former Name | ASHLEY ALVAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 11-04394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2011024749) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2015-09-28 |