NPI | 1134894694 |
---|---|
Former Name | TARA YANAGIHASHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PT41250) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT41250) |
Enumeration Date | 2021-08-16 |
Last Update Date | 2022-08-08 |