| NPI | 1356545966 |
|---|---|
| Former Name | ANA NICOLE DUPUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 7545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5024) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-11-13 |