| NPI | 1265607295 |
|---|---|
| Former Name | MA SOCORRO MIEL CASTUERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012505) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-03-17 |