| NPI | 1215583380 |
|---|---|
| Former Name | CHRISTINA AMANDA PENALBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61032123) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297183) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-08-04 |