| NPI | 1336698711 |
|---|---|
| Former Name | EMILY MARIE LASZCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 09719R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1282079) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-06-27 |