NPI | 1285720268 |
---|---|
Former Name | ANGELA M. TUESCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-017285) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012920) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-03-06 |