NPI | 1144567413 |
---|---|
Former Name | MARIESA STRANGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VI 235) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10117) |
225100000X Physical Therapist (Licence: LA 08997R) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2018-12-03 |