| NPI | 1275015083 |
|---|---|
| Former Name | MARISSA GACEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH10662) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-03-27 |