NPI | 1356319958 |
---|---|
Former Name | JUNE VILLAFRANCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013587L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT002704) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-03-04 |