| NPI | 1285178111 |
|---|---|
| Former Name | ALYSSA JEAN RACHUBKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 15831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016039469) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-10-17 |