| NPI | 1336584788 |
|---|---|
| Former Name | FRANCES JOVELLANOS LASTICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30756) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60127396) |
| 225100000X Physical Therapist (Licence: VA 2305207648) | |
| 225100000X Physical Therapist (Licence: MD 24322) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-07-15 |