NPI | 1184717407 |
---|---|
Former Name | TAMRA CAMAROTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 6040) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006040) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2022-03-04 |