NPI | 1306116181 |
---|---|
Former Name | BHAVNA BABANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013634) |
Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist |
225100000X Physical Therapist (Licence: MA 17726) | |
Enumeration Date | 2012-01-10 |
Last Update Date | 2012-01-10 |