| NPI | 1285683151 |
|---|---|
| Other Name | TINA MARIE TEIXEIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007835) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-02-22 |