NPI | 1275088643 |
---|---|
Former Name | ALEXANDRA N PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 101689) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH8089) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2022-06-24 |