| NPI | 1275542680 |
|---|---|
| Former Name | ANDREA LYNN DE PALMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00878400) |
| 225100000X Physical Therapist (Licence: NY 022739-1) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |