NPI | 1225452790 |
---|---|
Former Name | DEBRA L CABRELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT4672) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC PT5424) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2014-02-04 |