NPI | 1134422322 |
---|---|
Former Name | DANIELLE POLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033233) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008968) |
Enumeration Date | 2010-12-10 |
Last Update Date | 2018-04-09 |