NPI | 1184799553 |
---|---|
Former Name | JOYCE GENTILE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT014000L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001771) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-10-12 |