NPI | 1225447915 |
---|---|
Former Name | ALATI GAGNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2813) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2014-08-06 |
Last Update Date | 2019-08-13 |