| NPI | 1215472576 |
|---|---|
| Former Name | MARENA BOCTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 292549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29549) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2023-11-14 |