NPI | 1235256975 |
---|---|
Former Name | HILDA LOPEZ CORTEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11043) |
Additional Taxonomies | 171W00000X Contractor (Licence: IN 05006591A) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2025-01-11 |