| NPI | 1275138646 |
|---|---|
| Former Name | VANESSA BOSCAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT36592) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT36592) |
| 225100000X Physical Therapist (Licence: FL PT36592) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-05-03 |