| NPI | 1144251554 |
|---|---|
| Former Name | COLONY A PACKRONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018095) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PT018095) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-11-08 |