| NPI | 1326291147 |
|---|---|
| Former Name | MASHA USATIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 19007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 017456) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2010-10-15 |