NPI | 1255844874 |
---|---|
Former Name | RAQUEL SERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294169) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0012793) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2022-02-11 |