| NPI | 1255702361 |
|---|---|
| Former Name | ROCHELLE TARA WRUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 15001) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |