NPI | 1326502709 |
---|---|
Former Name | NEHA DILEEP ATHAVALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1312025) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1312025) |
Enumeration Date | 2019-01-30 |
Last Update Date | 2022-01-07 |