| NPI | 1336202498 |
|---|---|
| Former Name | TAMMY L PRIGANC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 37908) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 3841) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL 37908) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-09-10 |