NPI | 1306157532 |
---|---|
Former Name | MARILYN CAVITE CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019010) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030347) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2013-09-06 |