| NPI | 1255589362 |
|---|---|
| Former Name | DEXTER HONTIVEROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 024717) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: NY 024717) |
| 283X00000X Rehabilitation Hospital (Licence: CO 10103) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2021-02-26 |