NPI | 1184778235 |
---|---|
Former Name | VICTORIA L LABENSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009716) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 006675) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-25 |