| NPI | 1306174867 |
|---|---|
| Former Name | COLLEEN FUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01056300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018167) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-04-15 |