NPI | 1316262553 |
---|---|
Former Name | MARIA CLARISSA RAYOSO MORCILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030029) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030029-1) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2022-04-18 |