NPI | 1316122500 |
---|---|
Former Name | CHRISTIAN VILLON VILLANUEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011910A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023848) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2022-06-28 |