NPI | 1225353360 |
---|---|
Other Name | KEZIA DARLENE SANTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC008926) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE1001863) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2010-04-01 |