NPI | 1255001947 |
---|---|
Former Name | REGINA JOAN DE CESARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 12449744-2401) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2023-06-09 |