| NPI | 1295121911 |
|---|---|
| Former Name | MAUREEN VILLAHERMOSA DIJAMCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01575100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034334) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |