| NPI | 1215059589 |
|---|---|
| Former Name | WILROCHELLE BOLIGOR BERNALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 021193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00994100) |
| 225100000X Physical Therapist (Licence: IN 05006074A) | |
| 225100000X Physical Therapist (Licence: GU 000040) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-03-18 |