NPI | 1144549098 |
---|---|
Former Name | CHRYSTEL CLOTILDA DSOUZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1184860) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT-3441-L) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2024-05-10 |