| NPI | 1225136039 |
|---|---|
| Former Name | CYNTHIA ANN MALLONEE QUINBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1149673) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1149673) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-19 |