| NPI | 1356419360 |
|---|---|
| Former Name | CARRIE ANN RUBERTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 12302) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 25878) |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-06-01 |