NPI | 1164689436 |
---|---|
Former Name | GINA LUCARINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400097034) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008318) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2017-09-26 |