| NPI | 1295086387 |
|---|---|
| Former Name | MICHELE BLATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33994) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA 33994) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2023-11-04 |