| NPI | 1225460793 |
|---|---|
| Former Name | TAMMIE AZOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5195) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1304187) |
| 225100000X Physical Therapist (Licence: NM PT5309) | |
| 225100000X Physical Therapist (Licence: NV 2871) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-04-20 |