NPI | 1205331451 |
---|---|
Former Name | MARIA MISKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20073) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01777800) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2022-07-25 |