NPI | 1265550941 |
---|---|
Former Name | MICHAELA M BELLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027082) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17482) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2019-02-22 |