NPI | 1326327677 |
---|---|
Former Name | MARLYN JOYCE COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 15514) |
2251G0304X Physical Therapist, Geriatrics (Licence: MD 15514) | |
2251P0200X Physical Therapist, Pediatrics | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2011-08-04 |