NPI | 1194205906 |
---|---|
Former Name | JOCELYN ROSE CERUTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11912) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT296526) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2023-01-04 |