NPI | 1144426263 |
---|---|
Former Name | ALCESTIS GENEVIEVE LIMCAY GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1172622) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.010512) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2007-07-08 |