| NPI | 1245547546 |
|---|---|
| Former Name | TRACEY ROSE MCDERMOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA1240300) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 018849) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |