NPI | 1144620576 |
---|---|
Former Name | ALEXNDRA DELANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21342) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15169) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2017-04-04 |