| NPI | 1235601634 |
|---|---|
| Former Name | JOANNE ZEIDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT295993) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT295993) | |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2022-10-12 |