NPI | 1154866259 |
---|---|
Former Name | ALYSSA ZAFUTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 64149) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT292370) |
Enumeration Date | 2016-12-27 |
Last Update Date | 2025-05-27 |