NPI | 1205389137 |
---|---|
Former Name | CHELSEA SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18698) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9588) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2023-05-24 |