NPI | 1154729937 |
---|---|
Former Name | RECHELLE ARIAS CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019649) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016241) |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |