NPI | 1295039188 |
---|---|
Former Name | SANJA VELJKOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62328) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018220) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2023-10-23 |