| NPI | 1295252286 |
|---|---|
| Former Name | OLGA WODAREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012062A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020294) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |