NPI | 1184080285 |
---|---|
Former Name | MONICA BLAESSER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012469A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017525) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-01-05 |