| NPI | 1285986786 |
|---|---|
| Former Name | EMILY DALLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20235) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-05-07 |