| NPI | 1275515413 |
|---|---|
| Former Name | CHRISTINA MAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 10035) |
| 225100000X Physical Therapist (Licence: WV 002514) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-09 |