| NPI | 1295096592 |
|---|---|
| Former Name | MARTINA POLAKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 3685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015900) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2016-08-26 |