NPI | 1306852140 |
---|---|
Former Name | AARATHI GANGADHARAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1324528) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7861) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2019-10-28 |