NPI | 1316389935 |
---|---|
Former Name | QUENNIE M LADAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 032114) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032114) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2014-05-07 |