NPI | 1326673658 |
---|---|
Former Name | MARIA KATHLEEN INFANTE SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10950) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292139) |
Enumeration Date | 2020-03-06 |
Last Update Date | 2021-11-15 |