| 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 |